Ultrasound, abdomen (complete)
Facility: Greenwood County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $383
- Cash Discount Price: $362
- vs. Medicare Baseline: 3.59x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 359% of the Medicare baseline (a markup of 259%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $142 - $150 | 133% |
| Triwest - All Plans | $162 | 152% |
| UnitedHealthcare | $190 - $381 | 178% |
| Choicecare Mcr Adv - All Plans | $190 | 178% |
| Tricare | $190 | 178% |
| Integrated Health Plan - All Plans | $340 | 318% |
| Beech Street - All Plans | $385 | 360% |
| First Health Ccn Network | $385 | 360% |
| First Health - All Other Plans | $385 | 360% |
| Preferred Hs (Coventry) - All Plans | $408 | 382% |
| Principal Health Care Inc - All Plans | $430 | 403% |
| Amerigroup Mcaid-All Plans | $453 | 424% |
| Medicaid / KanCare | $453 | 424% |
| Providrs Care/Wppa - All Plans | $680 | 637% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound at Greenwood County Hospital in Eureka, Kansas, the facility's cash median rate is $362.00, which is lower than the state average of $381.00. While the hospital's negotiated rates with insurance plans range from $142 to $680, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, as some negotiated rates exceed the cash amount. To secure the lowest possible cost, patients should explicitly ask the billing department about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
It is important to understand that commercial insurance rates are often inflated by administrative costs and contract structures, with negotiated rates frequently averaging 200% to 300% of the Medicare benchmark of $106.81 for this procedure. Because the No Surprises Act prohibits balance billing for out-of-network providers at in-network facilities, patients should verify their network status and ensure they are not signing away rights to dispute unexpected charges. If a discrepancy arises, consumers should request a formal, itemized billing audit to identify errors such as unbundled codes or services not rendered, rather than accepting a summary bill or settling disputes verbally.